[繰り返し強制治療を受けた患者の再犯の危険因子を調査する]
Szabolcs Fekete1,2, Hunor Girasek3,4,5, Gábor Gazdag6,5
11 Igazságügyi Megfigyelő és Elmegyógyító Intézet Budapest Magyarország.
Orvosi hetilap
|August 21, 2025
まとめ
精神疾患の再発の危険因子を特定することが重要です. 過去の犯罪,暴力,アルコールの使用,高齢化,パラノイド性統合失調症,施設での住居は 再犯のリスクを高めます
科学分野:
- 法医精神科
- メンタルヘルスの研究
- 犯罪学
背景:
- リスク分析,特に再犯リスクは 法医学精神医学において不可欠です.
- 患者のケアと公衆の安全のために 繰り返し受けられる非自発的な治療に 寄与する要因を理解することが不可欠です
研究 の 目的:
- 精神疾患の患者を再発する危険性を示すパターンを特定する.
- 裁判所の命令による 不意の治療に伴う要因を特定する.
主な方法:
- 国立法医学精神科 (2000年−2015年) の301人の入院患者のドキュメントを遡及的に分析した.
- 社会統計学的,臨床的,犯罪関連のデータの収集
主要な成果:
- 患者の5. 3%は前述の強制治療を受けていた.
- 再犯の危険因子には,強制的な治療を受けていない以前の犯罪,公務員に対する暴力,犯罪中にアルコール中毒,高齢者,パラノイド性統合失調症,施設での住居が含まれます.
- 5つの個人指向型パターンが危険因子として特定され,2つのパターンは再犯者に特異的であった.
結論:
- 社会統計学的,法医学的,および臨床的変数は,非自発的な治療を受けている患者で再発のリスクが高いと関連しています.
- 特定されたリスク要因は 適応型の治療プログラムと予防戦略の開発に役立つ.
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